Saúde em prisões: representações e práticas dos agentes de segurança penitenciária no Rio de Janeiro, Brasil

Abstract

Abstract

Atraso no diagnóstico da tuberculose em sistema prisional: a experiência do doente apenado

“…16 In the prison, the diverse representations and practices related to life, health and the risks involved in the day-to-day, as a result of multiple discourses and practices, are part of a peculiar logic that governs and organizes life in this institution. 1 Another study subject said: it was hard to get here [ It can be perceived in this statement, although not by the transparency of words, that this subject recognizes the disease in himself, however, the judgment of the deputy director, invested with power, when not recognizing the disease of the incarcerated individual, produces an erasure and manages meanings in the sphere of the experience of the disease. 11 Continuing to enduring pain represents a silencing of the speech of this subject, considering the existing hierarchies in the prison unit, the circulating power relationships and the management of gestures of interpretation of the incarcerated TB patient.…”

“…Studies on the health of the incarcerated population in Brazil, of which there are few, 1 show that the increasing prison occupancy rate, without the concomitant investment in the physical infrastructure and human resources, combined with the precarious conditions of hygiene, ventilation and natural light in the cells, compose a frequent scenario in the prison system. This situation produces risks for inmates becoming sick and creates favorable conditions for infection by Mycobacterium tuberculosis, and the spread of TB.…”

“…This situation produces risks for inmates becoming sick and creates favorable conditions for infection by Mycobacterium tuberculosis, and the spread of TB. [1][2][3][4] A systematic review regarding the incidence of TB in prisons, including twenty-three studies from different regions of the world, concluded that the transmission of TB in the prison population is higher than that related to the local general population. 5 The prevalence of TB among prisoners may be up to fifty times higher than the national averages.…”

Living with tuberculosis in prison: the challenge to achieve cure

“…Among the key actions for tuberculosis control is the provision of appropriate treatment for a minimum of six months, with emphasis on strengthening bonds; on sharing responsibilities between people with the disease and professionals; and on the Directly Observed Treatment strategy, for the delivery of quality care, which enables not only the healing of the disease, but the interruption of its transmission in the community. 2,[10][11][12][13][14] Health care in prisons is expressed mostly by prescriptive actions related to the merits of the person deprived of freedom and to the rights granted to them, either by their peers or by healthcare professionals, 15 to whom it is necessary to promote reflection on the possibilities they have, through the their work, to contribute to reduce the reality of inequality and exclusion that those living in prisons are submitted to. 16 On the other hand, the number of professionals who work in these environments is reduced, with precarious employment contracts and low wages, which somehow contributes to the high turnover of staff and frailty of the local programs for tuberculosis control.…”

Tuberculose: Características E Prevalencia Na População Privada De Liberdade De Sistemas De Saúde Prisional Do Rio Grande Do Sul

“…A disseminação de doenças contagiosas, em especial a infecção pelo HIV/AIDS e tuberculose (TB), constitui sério risco à saúde dos detentos, seus contatos (especialmente familiares e pessoal penitenciário) e para as comunidades nas quais irão se inserir após o livramento. Os estudos sobre a saúde da população prisional brasileira são pouco numerosos, mas todos revelam situação grave no que se refere à infecção pelo HIV e TB, o que confirma a experiência cotidiana dos profissionais de saúde (DIUANA, 2008).…”